An interventional study of Behavioral interventions targeting multiple risk behaviors as well as protective factors and School-level interventions targeting the school environment and system in Healthy, sponsored by World Health Organization. Recruiting at 5 sites in 5 countries. Open to participants aged 13 Years to 17 Years. Per ClinicalTrials.gov, last updated 2024-08-07.
Sponsored by World Health Organization · Not applicable, Interventional, and Other
This study is a cluster randomized trial carried out in schools of secondary cities of four low- and middle income countries. Baseline surveys in 30 randomly selected schools will assess the health behaviours of 13-17 year old students as well as school policies and practices. The intervention arm (15 schools) will use the baseline information to develop a package of actions in collaboration with students, teachers, and local authorities that will subsequently be implemented an monitored over two years. Follow-up surveys to evaluate the effectiveness of the implemented actions will be conducted after two years in all 30 previously selected schools.
The objective of this study is to generate health information through school surveys and use this information directly and locally, involving adolescents, to change policies and plan programmes to improve health.
The study is carried out in secondary cities of four low- and middle income countries, including Sekondi-Takoradi, Ghana; Jaipur, India; Spanish Town, Jamaica; and Fez, Morocco.
In each of the four cities, 30 schools are randomly selected. Baseline surveys will be conducted to assess (1) 13-17 year old student's health behaviours using the Global School-based Student Health Survey (GSHS); and (2) health policies and practices in the selected schools using the Global School Health Policies and Practices Study (G-SHPPS). Additionally, the physical activity module of the GSHS questionnaire will be validated against objective measurement devices in one randomly selected class of 15 randomly selected schools.
Schools will be randomly allocated to the intervention (15 schools) or control arm (15 schools) of the study. The intervention group will participate in interactive workshops using the Global Accelerated Action for the Health of Adolescents (Global AA-HA!) approach and the framework of Making every school a health-promoting school to:
Repeat GSHS and G-SHPPS surveys will be conducted two years later in all schools to assess effectiveness of the interventions.
World Health Organization is the lead sponsor of 10 studies on the registry; 3 are open to participants now.
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Exclusion Criteria:
The intervention consists of interactive workshops that will be facilitated by WHO and trained local personnel and involve students, teachers and local authorities. In the workshops, the Global Accelerated Action for the Health of Adolescents (Global AA-HA!) approach will be used to: * identify adolescent health needs through exploring the collected baseline data; * assess policies and practices already in place; * identify gaps and needs for action to improve health. A menu of actions will be identified, prioritized, implemented and monitored.
Behavioral: Behavioral interventions targeting multiple risk behaviors as well as protective factors · Other: School-level interventions targeting the school environment and system
The schools in the control arm will not participate in any intervention and continue 'as usual' after the baseline surveys.
Depending on the baseline data and prioritization of actions, behavioral interventions related to the following topics will be implemented: alcohol use, dietary behaviors, drug use, hygiene, mental health, physical activity, protective factors, sexual behaviors, tobacco use, violence and unintentional injury.
Depending on the baseline data and prioritization of actions, and based on the Global Standards for Health Promoting Schools, school-level interventions related to the following will be implemented: school policies and resources, school governance and leadership, school and community partnerships, school curriculum, school social-emotional environment, school physical environment, school health services
Alcohol use
Self-reported alcohol use measured with the Global School-based Student Health Survey (GSHS)
Time frame: Two years
Dietary behaviors
Self-reported dietary behaviors measured with the Global School-based Student Health Survey (GSHS)
Time frame: Two years
Drug use
Self-reported drug use measured with the Global School-based Student Health Survey (GSHS)
Time frame: Two years
Hygiene
Self-reported hygiene measured with the Global School-based Student Health Survey (GSHS)
Time frame: Two years
Mental health
Self-reported mental health measured with the Global School-based Student Health Survey (GSHS)
Time frame: Two years
Physical activity
Self-reported physical activity measured with the Global School-based Student Health Survey (GSHS)
Time frame: Two years
Protective factors
Self-reported protective factors measured with the Global School-based Student Health Survey (GSHS)
Time frame: Two years
Sexual behaviors
Self-reported sexual behaviors measured with the Global School-based Student Health Survey (GSHS)
Time frame: Two years
Tobacco use
Self-reported tobacco use measured with the Global School-based Student Health Survey (GSHS)
Time frame: Two years
Violence and unintentional injury
Self-reported violence and unintentional injury measured with the Global School-based Student Health Survey (GSHS)
Time frame: Two years
School-level policies and practices
School-level outcomes related to the following: school policies and resources, school governance and leadership, school and community partnerships, school curriculum, school social-emotional environment, school physical environment, school health services measured with the Global School Health Policies and Practices Study (G-SHPPS)
Time frame: Two years
Plan to share: Yes — After a two year window following completion of data collection, the GSHS and G-SHPPS data will be released as public access datasets, including in the WHO NCD microdata repository.
Supporting information: Study protocol, Statistical analysis plan, Informed consent form
Time frame: The documents above will become available after the study protocol has been published in a scientific journal.
No publications or documents are linked to this record.
Started Jan 2022 (actual). Primary completion is estimated for Jul 2026, 54 months after the start.
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